Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11612 | Date 05/06/2024 |
| Token No | SM/24-25/16742 06/06/2024 | Serial | 044 |
| Patient Name | Miss ISHANI SEN | Contact No | 9007949894 |
| Address | 592 G T ROAD | Age | 6 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||